探討醫院層級及科別對專師工作內容及留任意願的影響

Exploring the Influences of Hospital Tiers and Working Units on Job Content and Intent to Stay in Nurse Practitioners

蘇靖幃(Jing-Wei Su) ； 林淑媛(Shu-Yuan Lin)

《台灣專科護理師學刊》 7卷1期 (2020/11) Pp. 25-35

摘要

背景：專科護理師（簡稱專師）的工作內容及留任意願已有初探，但專師工作內容及留任意願受醫院層級及科別之影響，卻較少被探討。目的：探討不同醫院層級或科別之專師在工作內容及留任意願的差異，及工作內容和留任意願的相關性。方法：採橫斷性調查研究，在南部五家不同層級醫院，以方便取樣221名專師進行「專科護理師工作項目與時間分配」和「留任意願」的問卷調查，統計於SPSS 20.0進行描述性統計、卡方檢定、單因子變異數分析及相關性分析等。結果：不同醫院層級專師在總執行工作項目數（F=4.56,p=.013）及時間花費（F=3.36,p=.036）有顯著差異；不同科別專師在總執行工作項目數（F=4.26,p=.015）有顯著差異，總執行工作項目數與時間花費（r=.65,p＜.01）、留任意願（r=.15,p=.024）有正相關。結論：醫學中心與內外科病房的專師在工作內容的執行狀況與其他專師有差別，僅四成的專師想留在目前的工作，且工作內容可能會影響留任意願。建議管理者提供支持，彈性調整專師的工作項目及工作時數，提升專師的留任意願，增加人力的穩定性。

關鍵字

專科護理師 ； 工作內容 ； 留任意願

並列摘要

Background: Job content, time allocation and intent to stay have been studied in nurse practitioners (abbreviated as NP). The influences of hospital tiers or working units on job content, time allocation and intent to stay were less studied. Purposes: The study aims to explore the differences of job content and intent to stay among varied hospital tiers or working units, and to determine the level of correlation between job content and intention to stay. Methods: This study was a cross-sectional survey design conducted in five hospitals with varied tiers at Southern Taiwan. A convenience sample composed of 221 NPs were surveyed by ＂NP work items and time allocation questionnaire＂ and the subscale of ＂intent to stay＂ questionnaire. Descriptive statistics, Chi-Squared Test, ANOVA test and correlation analysis were performed using SPSS 20.0. Results: Nurse practitioners in varied hospital tiers showed significant differences on total number of work items executed (F = 4.56, p = .013) and time spent (F = 3.36, p = .036). Nurse practitioners in different working units demonstrated significant differences on total number of work items executed (F = 4.26, p = .015). Positive correlations existed between total number of work items executed and time spent (r = .652, p ＜ .01) and intent to stay (r = .151, p =.024), respectively. Conclusions: Nurse practitioners working in medical centers or medical-surgical units have differences in job content and time spent with their counterpart NPs. Only forty percent of NPs showed their intention to stay at their current positions. Managers were recommended to provide adequate support and adjust NPs' job content and working hours in order to increase NPs' intent to stay and maintain the stability of manpower.

並列關鍵字

nurse practitioner ； job content ； intent to stay

參考文獻

李欣慈、胡文郁（2011）．全球進階護理人員的發展：實施現況與瓶頸．台灣醫學，15（4），421－428。https://doi.org/10.6320/FJM.2011.15(4).11

汪蘋、盧美秀（2006）．專科護理師執業現況與角色任務期望之探討．榮總護理，23（2），157－170。https://doi.org/10.6142/VGHN.23.2.157

洪世欣、黃淑鶴、謝雅宜、謝麗鳳、陳梅麗、汪蘋（2005）．專科護理師執業現況與專業能力之探討．榮總護理，22（1），68－80。https://doi.org/10.6142/VGHN.22.1.68

童恒新、蔡秀鸞、王采芷（2010）．台灣專科護理師執業現況調查．台灣醫學，14（3），264－271。https://doi.org/10.6320/FJM.2010.14(3).03

楊佩瑄、陳美杏、陳麗琴、林淑媛（2019）．醫學中心護理人員工作負荷感受及留任意願之相關因素探討．高雄護理雜誌，36（1），1－11。https://doi.org/10.6692/KJN.201904_36(1).0001